| NPI | 1801806526 |
|---|---|
| Former Name | MARY JOYCE DEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 753449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R48132) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-04-27 |